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Session Goals Demonstrate that a one-time intervention can make a difference Outline the COMPLEX model process including its theoretical basis Demonstrate the COMPLEX model as an effective method of experiential learning

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Why? “In over 25 years in EMS, the thing that is painfully obvious to me is the fact that we make a great effort to protect ourselves from infectious diseases, blood spatters, and hazardous materials. All the while, the most insidious and widespread problem out there for EMS practitioners, their families, and friends is the inability to leave EMS at the station. This eventually gets to the point of sacrificing close and meaningful relationships in our zeal for professional gratification. You need to make sure to take care of yourself while you are taking care of others.” Paul A.Werfel NREMT-P, Director, Paramedic Program Assistant Professor of Clinical Emergency Medicine, State University of New York at Stony Brook

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Results/Recommendations The COMPLEX model was effective in changing outcome expectancy and self- efficacy beliefs regarding the use of select proactive coping behaviors in EMS trainees. The next step is to evaluate actual adoption of behaviors.

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COMPLEX Model Blueprint COMPLEX Model Blueprint StrategyTheory/Content/Messages Create GoalsPurpose of the educational experience OrientArousal MotivateExpectancy Valence Expectancy: If I concentrate on my breathing, I can be in control of my stress response. Valence: It is important for me to be able to manage stressful situations. Self-Efficacy Performance: I watched you in total control of your breathing during our last session. Vicarious: Watch how Bob is able to focus on his breathing when distracted. Verbal persuasion: I know you will be able to do this when you are in a stressful situation. ParticipationSelf-Efficacy Performance: You are breathing evenly, demonstrating your ability to be in control. Vicarious: I can see you are able to concentrate on each breath like Ann is. Verbal persuasion: I bet you can do this regardless of the intensity of the stress you are experiencing. Attribution Internal: You are in total control of your breathing. Stable: You can do this again. Global: I believe you can do this when ……. Log-OffClose the experience EdifyAttribution Reflection: What did you experience? Generalization: Have you experienced something similar before? ExamineApplication: In what situations can you apply what you have learned in your own life? How can it be applied in other situations where the need to focus or be mindful is critical?